<!DOCTYPE html>
<html>

<head>
<title>入住登记-新增</title>
<meta charset="utf-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!-- Bootstrap -->
<link href="../../../common/css/bootstrap-responsive.css"
	rel="stylesheet" media="screen">
<link href="../../../common/css/bootstrap.css" rel="stylesheet"
	media="screen">
</head>

<body>
	<article>
		<div class="container-fluid">
			<div class="row-fluid">
				<div class="span12">
					<ul class="breadcrumb">
						<li><a href="/view/checkin/list/checkin-list.html">返回</a> <span
							class="divider">/</span></li>
						<li><a href="/index.html">主页</a> <span class="divider">/</span>
						</li>
						<li><a href="/index.html">客户管理</a> <span class="divider">/</span>
						</li>
						<li><a href="/view/checkin/list/checkin-list.html">入住登记</a> <span
							class="divider">/</span></li>
						<li class="active">新增</li>
					</ul>
				</div>
			</div>

			<div class="row-fluid">
				<div class="span12">
					<form @submit.prevent="checkin">
						<fieldset>
							<legend>客户信息</legend>
							<div class="modal-body clearfix" style="height: auto;">
								<div class="col-md-12 pd0">
									<div class="col-md-1 pd0 mt10"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;客户姓名：</span>
												<input v-model="params.name" type="text"
													class="form-control" placeholder="请输入【客户姓名】信息">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;出生年月：</span>
												<input v-model="params.birthday" type="date"
													class="form-control" placeholder="请输入出生年月信息">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;性别：</span>
												<select v-model="params.male" class="form-control">
													<option value="1">男</option>
													<option value="0">女</option>
													<option>其他</option>
												</select>
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;身份证号：</span>
												<input v-model="params.idCard" type="text"
													class="form-control" placeholder="请输入【身份证号】信息">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;编号：</span>
												<input v-model="params.no" type="text" class="form-control"
													placeholder="请输入编号信息">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;账号：</span>
												<input v-model="params.account" type="text"
													class="form-control" placeholder="请输入账号信息">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;血型：</span>
												<select v-model="params.booldType" class="form-control">
													<option value="0">O型</option>
													<option value="1">A型</option>
													<option value="2">B型</option>
													<option value="3">AB型</option>
												</select>
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;婚姻状况：</span>
												<select v-model="params.marriage" class="form-control">
													<option value="1">已婚</option>
													<option value="0">未婚</option>
													<option value="2">离异</option>
													<option value="3">丧偶</option>
												</select>
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;地址</span>
												<input v-model="params.address" type="text"
													class="form-control">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;入住时间</span>
												<input v-model="params.enterTime" type="date"
													class="form-control">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;身高：</span>
												<input v-model="params.height" type="number"
													class="form-control">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;体重：</span>
												<input v-model="params.weight" type="number"
													class="form-control">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;联系电话：</span>
												<input v-model="params.privatePhone" type="text"
													class="form-control" placeholder="请输入【联系电话】信息">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;既往史：</span>
												<input v-model="params.medicalRecord" type="text"
													class="form-control">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
								<div class="col-md-12 pd0 mt10">
									<div class="col-md-1 pd0"></div>
									<div class="col-md-10 pd0">
										<div class="col-md-12 pd0">
											<div class="input-group inputWidth">
												<span class="input-group-addon titleWidth">&nbsp;&nbsp;备注：</span>
												<input v-model="params.remark" type="text"
													class="form-control">
											</div>
										</div>
									</div>
									<div class="col-md-1 pd0"></div>
								</div>
							</div>
							<button type="submit" class="btn btn-default">提交</button>
							<button type="reset" class="btn btn-default">重置</button>

						</fieldset>
					</form>
				</div>
			</div>
		</div>
	</article>
	<script src="http://code.jquery.com/jquery.js"></script>
	<script src="../../../common/js/bootstrap.js "></script>
	<script src="../../../common/axios.min.js "></script>
	<script src="../../../common/jun/yi.toast.js "></script>
	<script src="../../../common/vue.js "></script>
	<script src="checkin-add.js"></script>
</body>

</html>